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Home My WebLink About3001 19TH STENCROACHMENT PERMIT . CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 06-30000005 Date 2/01/06 Property Address . . . . . . 3001 19TH ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor PELTIER THOMAS OWNER/BUILDER 3001 19TH ST BAKERSFIELD CA 93301 BAKERSFIELD CA 93301 619-5647 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 500629 Permit Fee . . . . 150.00 Issue Date . . . . 2/01/06 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 150.0000 EA PW ENCROACHMENT 150.00 Special Notes and Comments BUILD WROUGHT IRON FENCE TO SIDEWALK Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at aanny- time. p- Signature of Applicant (Owner/Agent) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTffB A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE ~ DjpEDIIED), ;Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Bach .00 B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: FROM: DATE: SUBJECT: Raul M. Rojas, Public Works Director Marian P.'Shaw, Civil Engineer IV, Subdivisions February 3, 2006 Encroachment Permit Application for: Name of Applicant: 3001 19th St. Thomas Peltier Description of Encroachment. Replace existing fence along sidewalk with brick and wrought iron fence. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to replace their existing fence along the sidewalk with a brick and wrought iron fence. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. &TERMIMENCROACH\3001 19th Street-Approval memo.doc 40 S A K E R S F I E E ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: FROM: DATE: SUBJECT: Ryan Starbuck, Civil Engineer III Marian P. Shaw, Civil Engineer IV, Subdivisions February 1, 2006 Encroachment Permit Application for: Name of Applicant. Description of Encroachment. 3001 19th St. Thomas Peltier Replace existing fence along sidewalk with brick and wrought iron fence. Please review the attached encroachment permit and return to me at your earliest convenience. Z/0 310G Ic 0. P'6111uc- C-- /Y' y czw5 rizoc-rV 1 S:\PERMITS\ENCROACH\TRAFFIC\3001 19th St.doc I~ E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 1, 2006 SUBJECT: Encroachment Permit Application for: Name of Applicant. Description of Encroachment. 3001 19th Street Thomas Peltier Replace existing fence along sidewalk with brick and wrought iron fence. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\3001 19th Street.doc APPLICATION FOR ENCROACMIENT PERIMIT . TO THE CITY ENGINEER OF THE CnY OF BAKERSFIELD, CALIFORI Di: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned apgIies for a permit to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. 1. Full name of woulicant and complete address including phone number: 7 m s ~~9 < r f ~~'C 2. Nature or description of the encroachment for which this application is made: JP; G 41.n G-. . rr r~iVAe c-is ty4 J-J-eA~:3 iC'(e /e aW V 0VV A su C,-e 3. Location of the proposed encroachment: 4. Period of time for which the encroachment is to be maintained: A s C~:~sG 4 s d4 . OS~ - Applicant agrees that if this application is. granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and em Ioyees against any and all liability, claims, actions, causes of action or demands, whatsoever against them, or any of them, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of. said encroachment or until such time that this permit is revoked. Applicant further agrees that upon.the expiration of the permit for which this application is made, if granted, or -u on the revocation thereof by the City engineer. apt)licant will at his own cost and expense remove the same from the public r~ operty or right of way, where the same is located, and restore said public property or right of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence o said encroachment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurance- coverage is: Applicant acknowledges the right of the City Engineer, pursuant.to Bak_ ersfield Municipal,Cgde.,Chop~r.~I2.20 to revoke the permit at any time. Date:` my l J~C Signautr~ppIi d ant 8wner or epresentatnve PERMIT I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACIEI1~Ii ENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRAINTED) (DENIED). SAID PERIMIT SHALL EXPIRE Date: Signature of City Engineer No ENCROACHMENT PERMIT INSLRAUNCE REQUL1tENONTS I) Type and Amount of Insurance Coverage for f= installation or construction 1) for residences Homeowners coverage in an amount of at least 3300,000 2) for businesses Commercial General Liability coverage in an amount of at least 5500,000 II) AdditiorW Insured Verbiage The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insureds with respecrs to A e O-tt-ivft (i.e. the installation of a chain link fence at, 1501 Tn=n Ave.). ;,9,•,, & r z' 1 4Xl Fro e eo' 9 2 3 0 T' 1 -fc Odew ~'y~t 5 rI asp.. l CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM M MAY CONCERN: We the undersigned , have no objection to the construction of a fence beside the sidewalk within the public right of way. l 1~z-e W N w (f64we,-\ /el j L Lkv, By: / cam s' /1~1 C- (Street for puposed encroachment) (Owners Name) of 0 (Address of purposed encroachment ) SIGNED ) Name: ~ ~ Address: 2) Name: .Address: 3) Name: Address: 4) Dame: Address: 5) Name: Address: 6) name: Address: Phone:. Date: 1/2-1 1(3 (h i 1. Date: 0 -7-cl 5' ~ 3~6 r /.u I ` ZZ) 1.4 (~+-h c3± q?,3.01 Date: 2 Dater ~v+ Date: Date: Silver Homeowners Policy 1471 Declaration Page 1 of 2 MEMO COPY unigara Company: Unigard Insurance Company P.O. Box 90701 Policy Number: Bellevue WA 98009 H N 176486 Named insured: Thomas A Peltier Agent: Amended Declaration issued 05/11/05 3001 19th St Uvis/Fallgatter Rhodes Ins. Services replaces all prior declarations, if any, Bakersfield CA 93301 9100 Ming Ave Ste 201 Bakersfield CA 93311 and with policy jacket, forms and any endorsements, completes this (661) 324-2424 Homeowner Policy. Policy period from 06/15/05 to 06/15/06 at 12:01 A.M. standard time Coverage is provided only where a at the address of the named insured premium or a limit of liability is shown . for the coverage. Location of insured premises: We will provide the insurance described Same as insured address above in this policy in return for the premium and compliance with all applicable Coverages Limits of Liability policy provisions. Section I Coverage A - Dwelling $ 255,200 Premium paid by: Insured Number of Families: 1 Coverage B - Other Structures $ 25,520 Construction Type: Frame Coverage C - Personal Property $ 191,400 Year Built: 1954 Coverage D - Loss of Use $ 127,600 Protection Class: 3 Deductible $500 Territory: 44 y' In case of a loss under Section I, we cover only that part of the loss over the deduct ible stated. Section II Coverage E - Personal Liability $ 500, 000 each occurrence Premium Summary Basic Policy Premium: $ 903 00 Coverage F - Medical payments to others $ 5, 000 each person . Additional Coverages: $ 48.00 Total Policy Premium: $ 951. 00 Notice to Insured Your policy does not cover flood loss. You may be able to get protection through the National Flood Insurance Program. If you wish to find out more about this program, please contact your Unigard agent. Your policy does not cover loss by earthquake. This policy contains up to 10% of the Coverage A limit for Ordinance or Law coverage. The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an approximate cost of labor and materials in your area, and specific information that you have provided about your home. Congratulations! Your total premium has taken into consideration the following credits. Cross Sold Credit Protective Device Credit Claim Free Credit Deductible Credit Thank you for choosing Unigard for your Insurance needs. Page 1 of 2 153090 (01-01) X93301 06-03